{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T12:24:32Z","timestamp":1777983872792,"version":"3.51.4"},"reference-count":36,"publisher":"BMJ","issue":"3","license":[{"start":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T00:00:00Z","timestamp":1754611200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Scleroderma and Related Disorders"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The objective of the study was to assess the type D personality, social inhibition, and negative affectivity and their association with cardiovascular risk and disease-related parameters in patients with systemic sclerosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>This cross-sectional study included patients with systemic sclerosis (n\u2009=\u200984) and controls (n\u2009=\u200974). We recorded the sociodemographic parameters, blood pressure (mmHg), and laboratory parameters (mg\/dL) of the study groups, as well as disease-related parameters in patients with systemic sclerosis, along with the modified Rodnan skin score. The type D Scale-14 for type D personality (social inhibition and negative affectivity) and the Framingham risk score for 10-year cardiovascular disease risk to the study groups were administered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean age, type D Scale-14 total score, Framingham risk score, and median total modified Rodnan skin score were 55.7\u2009\u00b1\u200911.6\u2009years, 28.2\u2009\u00b1\u200913.6, 9.1\u00b1 8.1, and 17.5 (13), respectively, in patients with systemic sclerosis. The frequency of type D personality, social inhibition, and negative affectivity was higher in patients than in controls, at 59.5% vs 14.9%, 65.5% vs 23%, and 78.6% vs 32.4%, respectively (p\u2009&lt;\u20090.001 for all). The median Framingham risk score was statistically similar for patients, controls, and patients with and without type D personality (p\u2009&gt;\u20090.05 for all). Compared to those without social inhibition, patients with social inhibition had higher total modified Rodnan skin scores (p\u2009=\u20090.011). Social inhibition exhibited a weakly positive correlation with the total modified Rodnan skin score (Spearman\u2019s \u03c1\u2009=\u20090.223), yet regression analysis did not achieve significance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>More than half of patients with systemic sclerosis display type D personality traits. Patients with serious skin fibrosis experience more social inhibition, so it is important to provide psychological and social support to them.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23971983251362595","type":"journal-article","created":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T14:39:16Z","timestamp":1754663956000},"page":"633-639","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Evaluation of the type D personality and its association with cardiovascular risk and disease-related parameters in patients with systemic sclerosis"],"prefix":"10.1136","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7070-3076","authenticated-orcid":false,"given":"Ay\u015feg\u00fcl","family":"Yeti\u015fir","sequence":"first","affiliation":[{"name":"Division of Rheumatology, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Cukurova University, Adana, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0779-7721","authenticated-orcid":false,"given":"Volkan","family":"Deniz","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Tarsus University, Mersin, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2270-102X","authenticated-orcid":false,"given":"Gizem","family":"Varkal","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Cukurova University, Adana, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5192-9045","authenticated-orcid":false,"given":"\u0130pek","family":"T\u00fcrk","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Cukurova University, Adana, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8835-4203","authenticated-orcid":false,"given":"Aylin","family":"Sariyildiz","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Cukurova University, Adana, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,8,8]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)30933-9"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/1756-185X.14002"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-016-3530-3"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-021-05887-1"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/JCN.0000000000000747"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1080\/08870446.2023.2265617"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12872-023-03598-w"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.anr.2022.08.001"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2023.1119146"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2020.110265"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-017-3654-1"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/ppc.13042"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10880-022-09903-7"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-022-05118-z"},{"issue":"4","key":"e_1_3_3_16_2","first-page":"646","article-title":"The validity and reliability of type D personality scale in Turkish population","volume":"18","author":"\u00d6nc\u00fc E","year":"2018","unstructured":"\u00d6nc\u00fc E, K\u00f6ksoy Vay\u0131so\u011flu S. 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